WATERLOO EYE CARE
NPI 1518199371
Eyewear Supplier in Waterloo, NY

Active since August 12, 2009
204 MAIN STREET SHOP CTR, WATERLOO, NY 13165(315) 539-1209(315) 539-1425 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Waterloo Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERLOO EYE CARE (NPI 1518199371) is a healthcare organization registered as an eyewear supplier in Waterloo, New York and active in the NPI registry since August 2009. The organization lists Daniel David Goodman, President/optician, as its authorized official.

NPPES Registry Identity

NPI1518199371
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWATERLOO OPHTHALMIC DISPENSING, PC
Location Address204 MAIN STREET SHOP CTRWaterloo, NY 13165-1454
Mailing Address204 Main Street Shop CtrWaterloo, NY 13165-1454 · (315) 539-1209 · Fax (315) 539-1425
Fax(315) 539-1425
Organization SubpartNo
Authorized OfficialDaniel David GoodmanPresident/optician · (315) 539-1209
Enumeration DateAugust 12, 2009
NPI 1518199371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in NY · C004107-1
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

204 MAIN STREET SHOP CTR, Waterloo, NY 13165

Other Names 1

Doing Business AsWaterloo Eye Care

Other Identifiers 1

Medicare UPIN5944090001NY

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Optometrist
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165
Technician/Technologist (Optician)
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165
Technician/Technologist (Optician)
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518199371, enumerated as an "organization" on August 12, 2009.

The provider is located at 204 MAIN STREET SHOP CTR WATERLOO, NY 13165 and the phone number is (315) 539-1209.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.